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Research ArticleOriginal Research

Weight Status and Perception of Colorectal Cancer Risk

Heather Bittner Fagan, Randa Sifri, Richard Wender, Elena Schumacher and James F. Reed
The Journal of the American Board of Family Medicine November 2012, 25 (6) 792-797; DOI: https://doi.org/10.3122/jabfm.2012.06.120017
Heather Bittner Fagan
From the Department of Family and Community Medicine, Christiana Care Health System, Wilmington, DE (HBF, JFR); the Department of Family and Community Medicine, Jefferson Medical College, Philadelphia (RS, RW); the Helen F. Graham Cancer Center; and Academic Affairs, Christiana Care Health System, Newark, DE (ES).
MD, MPH, FAAFP
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Randa Sifri
From the Department of Family and Community Medicine, Christiana Care Health System, Wilmington, DE (HBF, JFR); the Department of Family and Community Medicine, Jefferson Medical College, Philadelphia (RS, RW); the Helen F. Graham Cancer Center; and Academic Affairs, Christiana Care Health System, Newark, DE (ES).
MD
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Richard Wender
From the Department of Family and Community Medicine, Christiana Care Health System, Wilmington, DE (HBF, JFR); the Department of Family and Community Medicine, Jefferson Medical College, Philadelphia (RS, RW); the Helen F. Graham Cancer Center; and Academic Affairs, Christiana Care Health System, Newark, DE (ES).
MD
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Elena Schumacher
From the Department of Family and Community Medicine, Christiana Care Health System, Wilmington, DE (HBF, JFR); the Department of Family and Community Medicine, Jefferson Medical College, Philadelphia (RS, RW); the Helen F. Graham Cancer Center; and Academic Affairs, Christiana Care Health System, Newark, DE (ES).
RD
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James F. Reed III
From the Department of Family and Community Medicine, Christiana Care Health System, Wilmington, DE (HBF, JFR); the Department of Family and Community Medicine, Jefferson Medical College, Philadelphia (RS, RW); the Helen F. Graham Cancer Center; and Academic Affairs, Christiana Care Health System, Newark, DE (ES).
PhD
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  • Article
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Article Figures & Data

Tables

    • View popup
    Table 1. Demographic Characteristics of Participants According to Weight Status (n = 9360)
    Weight Status (n = 9360)
    Normal (n = 2787)Overweight (n = 3600)Obese (n = 2973)
    Age (years)
        50–5948.3%48.2%52.0%
        60–6928.5%31.6%31.6%
        70–7923.2%20.2%16.4%
    Educational status
        Less than 12 years14.2%15.8%18.0%
        High school graduate27.6%30.1%32.2%
        Some college23.1%25.7%29.3%
        College or more35.1%28.4%20.5%
    Marital status
        Married66.5%73.2%69.2%
        Not married33.5%26.8%30.8%
    Race/ethnicity
        Hispanic5.9%8.6%8.3%
        Non-Hispanic white86.8%81.6%80.3%
        Non-Hispanic black7.3%9.8%11.4%
    Reported health status
        Excellent/good84.5%83.8%74.5%
        Fair/poor15.5%16.2%25.5%
    Household income
        <$20,00027.2%25.0%26.9%
        $20,000–35,00018.3%22.4%21.4%
        $35,000–55,00022.8%22.7%25.3%
        $55,000–75,00014.0%14.7%13.7%
        $75,000+17.7%15.2%12.7%
    Insurance coverage
        None8.7%7.8%8.0%
        Covered91.3%92.2%92.2%
    Past year medical visits
        012.7%11.5%8.0%
        115.1%15.2%10.7%
        2–543.0%43.4%42.3%
        6+29.2%29.9%39.0%
    Regular source of medical care90.3%91.5%93.2%
    Smoking status
        Never50.1%47.6%50.9%
        Former29.0%36.5%35.3%
        Current20.9%15.9%13.8%
    Alcohol use
        None40.2%40.2%48.4%
        Light to moderate53.7%55.2%48.3%
        Heavy6.1%4.6%3.3%
    Comorbidities
        035.0%28.3%16.7%
        131.3%30.6%24.5%
        2–327.2%31.8%42.2%
        4–55.3%7.8%13.9%
        ≥61.2%1.5%2.7%
    Family history of cancer
        Yes84.4%82.6%83.9%
        No15.6%17.4%16.1%
    Personal history of cancer
        Yes14.0%13.4%13.6%
        No86.0%86.6%86.4%
    Physician recommendation
        Yes54.6%54.1%55.3%
        No45.4%45.9%44.7%
    • View popup
    Table 2. Perception of Increased Cancer Risk Is Associated with CRC Screening (n = 8334)
    Perception of Increased Risk for CancernUp-to-Date for CRC ScreeningOR (95% CI)
    Yes122158.2% (711)1.66 (1.47–1.87)
    No817945.7% (3470)1.00*
    Perception of Increased Risk for CRCnUp-to-Date for CRC ScreeningOR (95% CI)
    Yes87869.0% (606)2.71 (2.33–3.15)
    No852245.1% (3845)1.00*
    • ↵* Reference.

    • CRC, colorectal cancer; OR, odds ratio; CI, confidence interval.

    • View popup
    Table 3. Perception of Cancer Risk According to Weight Status (n = 9360)
    Weight StatusPerception of Increased Risk for Cancer in GeneralPerception of Increased Risk of CRC
    Normal (n = 353)1.00*1.00*
    Overweight (n = 455)1.00 (0.85–1.18)1.03 (0.85–1.25)
    Obese (n = 413)1.05 (0.88–1.25)1.15 (0.94–1.40)
    • ↵>* Reference.

    • CRC, colorectal cancer.

    • View popup
    Table 4. Association between Perception of Cancer Risk and Weight Status According to Sex and Race (n = 9360, Subdivided into Groups)
    Increased Perception of Risk for Any Cancer; OR (95% CI)Increased Perception of Risk for CRC; OR (95% CI)
    White malesNormal (n = 786)1.00 (reference)1.00 (reference)
    Overweight (n = 1480)1.05 (0.76–1.45)1.02 (0.70–1.50)
    Obese (n = 893)1.19 (0.84–1.68)1.48 (1.0–2.19)
    Black malesNormal (n = 149)1.00 (reference)1.00 (reference)
    Overweight (n = 218)0.83 (0.40–1.72)0.91 (0.40–2.07)
    Obese (n = 141)0.73 (0.33–1.63)0.37 (0.12–1.11)
    White femalesNormal (n = 1476)1.00 (reference)1.00 (reference)
    Overweight (n = 1224)1.16 (0.91–1.48)1.23 (0.93–1.61)
    Obese (n = 1271)1.14 (0.90–1.44)1.07 (0.81–1.42)
    Black femalesNormal (n = 136)1.00 (reference)1.00 (reference)
    Overweight (n = 238)1.31 (0.58–2.99)2.72 (0.74–10.02)
    Obese (n = 322)1.19 (0.54–2.64)3.90 (1.12–13.52)
    • * Those who self-identify as Hispanic are not included in the data set.

    • CRC, colorectal cancer; OR, odds ratio; CI, confidence interval.

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The Journal of the American Board of Family     Medicine: 25 (6)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 6
November-December 2012
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Weight Status and Perception of Colorectal Cancer Risk
Heather Bittner Fagan, Randa Sifri, Richard Wender, Elena Schumacher, James F. Reed
The Journal of the American Board of Family Medicine Nov 2012, 25 (6) 792-797; DOI: 10.3122/jabfm.2012.06.120017

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Weight Status and Perception of Colorectal Cancer Risk
Heather Bittner Fagan, Randa Sifri, Richard Wender, Elena Schumacher, James F. Reed
The Journal of the American Board of Family Medicine Nov 2012, 25 (6) 792-797; DOI: 10.3122/jabfm.2012.06.120017
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  • Obesity
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